Active NPI
Susan Lee Bady, MSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1063598944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR013920-1
- Practice address
- 133 8TH Ave Apt 2B
Brooklyn, NY 11215-1786 - Phone
- (718) 638-8113
- Fax
- (718) 638-2903
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR013920-1 | NY | Primary |
Addresses
Primary practice location
133 8TH Ave Apt 2B
Brooklyn, NY 11215-1786
Mailing address
133 8TH Ave Apt 2B
Brooklyn, NY 11215-1786
Phone (718) 638-8113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR013920-1 | NY | MD | Clinical Social Worker |
| 013920 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063598944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 8TH AVE APT 2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151786",
"telephone_number": "718-638-8113",
"fax_number": "718-638-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 8TH AVE APT 2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151786",
"telephone_number": "718-638-8113",
"fax_number": "718-638-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADY",
"first_name": "SUSAN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR013920-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.